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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Revised Tokuhashi Scoring System

    Predicts survival in patients with spinal tumors.

    INSTRUCTIONS

    Use this score to predict survival in patients with metastatic spinal disease.

    When to Use

    Do you use the Revised Tokuhashi Scoring System and want to contribute your expertise? Join our contributor team!

    Good (KPS 80%-100%)
    +2
    Moderate (KPS 50%-70%)
    +1
    Poor (KPS 10%-40%)
    0
    0
    +2
    1-2
    +1
    ≥3
    0
    1
    +2
    2
    +1
    ≥3
    0
    No metastases
    +2
    Removable
    +1
    Unremovable
    0
    Thyroid, prostate, breast, carcinoid tumor
    +5
    Rectum
    +4
    Kidney, uterus
    +3
    Others
    +2
    Liver, gallbladder, unidentified
    +1
    Lung, osteosarcoma, stomach, bladder, esophagus, pancreas
    0
    None (Frankel E)
    +2
    Incomplete (Frankel C, D)
    +1
    Complete (Frankel A, B)
    0

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Yasuaki Tokuhashi

    About the Creator

    Yasuaki Tokuhashi, MD, is a professor in the Department of Orthopedic Surgery at the Nihon University School of Medicine in Tokyo, Japan. He was awarded the Japan Spinal Instrumentation Research Society Award in 1997 and is a member of the Japanese Orthopedics Association. Dr. Tokuhashi’s primary research is focused on orthopedics and spinal tumor prognosis.

    To view Dr. Yasuaki Tokuhashi's publications, visit PubMed

    Are you Dr. Yasuaki Tokuhashi? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Yasuaki Tokuhashi
    Are you Dr. Yasuaki Tokuhashi?
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